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Traumatic Brain Injury (Adults)
Service Delivery
Format
(e.g. individual, group)
External Scientific Evidence
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Evidence-Based Practice Guidelines |
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No evidence-based practice guidelines were found. |
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Evidence-Based Systematic Reviews |
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Evidence-Based Review of Moderate to Severe Acquired Brain Injury
Teasell, R., Marshall, S., et al. (2008).
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Description
This is a review of prospective and retrospective experimental and non-experimental studies that investigated the effectiveness of rehabilitation for adults and children with moderate to severe acquired brain injury (ABI), including stroke and traumatic brain injury (TBI). This review includes the assessment and management of several aspects of rehabilitation including speech and language treatments. The levels of evidence used to summarize the findings are based on the modified Sackett criteria: Level 1 was applied to randomized controlled trials (RCT) with a PEDro score greater than 5. Level 2 was applied to RCTs with a PEDro score less than 6, non-RCTs, and cohort studies. Level 3 was applied to case control studies. Level 4 was applied to pre-post studies, post-studies, case series, and single intervention group studies. Level 5 was applied to observational studies, case studies, and consensus statements.
Conclusions
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"There is Level 2 evidence that more intensive and structured cognitive rehabilitation therapy provided in both groups and individual settings improves participants’ satisfaction with community integration and cognitive functioning outcomes compared with standard, less structured multidisciplinary rehabilitation" (p. 36).
- "There is conflicting evidence supporting the use of group-based interventions to treat executive dysfunction post ABI" (p. 20).
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Cognitive Interventions Post Acquired Brain Injury
Rees, L., Marshall, S., et al. (2007).
Brain Injury, 21(2), 161-200 |
Description
This is a review of the published literature investigating the effectiveness of cognitive treatments for individuals with moderate to severe acquired brain injury (ABI). The majority of ABIs were the result of a traumatic brain injury. Treatments targeting learning and memory, attention/concentration, executive functioning and general cognitive approaches were included and evaluated based on the PEDro and Downs and Black evidence scoring system.
Conclusions
The authors found “limited evidence that demonstrated the short term effectiveness of group-based interventions for the treatment of executive dysfunction” (p. 180).
Clinical Expertise/Expert Opinion
| Consensus Guidelines |
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No consensus guidelines were found. |
Client/Patient/Caregiver Perspectives
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Comparison of Individual, Group and Combined Intervention Formats in a Randomized Controlled Trial for Facilitating Goal Attainment and Improving Psychosocial Function Following Acquired Brain Injury
Ownsworth, T., Fleming, J., et al. (2008).
J Rehabil Med, 40(2), 81-88. |
Description
This randomized controlled trial compared individual, group and combined treatment formats for individuals with traumatic brain injury and stroke. Goal attainment and satisfaction were assessed in each treatment format.
Conclusions
The authors concluded that "greater satisfaction with goal attainment was most likely to occur and be maintained following the combined intervention [individual/group format] from the perspectives of the participants and their relatives" (p. 86).
Evidence-Based Review of Moderate to Severe Acquired Brain Injury
Teasell, R., Marshall, S., et al. (2008).
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Description
This is a review of prospective and retrospective experimental and non-experimental studies that investigated the effectiveness of rehabilitation for adults and children with moderate to severe acquired brain injury (ABI), including stroke and traumatic brain injury (TBI). This review includes the assessment and management of several aspects of rehabilitation including speech and language treatments. The levels of evidence used to summarize the findings are based on the modified Sackett criteria: Level 1 was applied to randomized controlled trials (RCT) with a PEDro score greater than 5. Level 2 was applied to RCTs with a PEDro score less than 6, non-RCTs, and cohort studies. Level 3 was applied to case control studies. Level 4 was applied to pre-post studies, post-studies, case series, and single intervention group studies. Level 5 was applied to observational studies, case studies, and consensus statements.
Conclusions
"There is Level 2 evidence that more intensive and structured cognitive rehabilitation therapy provided in both groups and individual settings improves participants’ satisfaction with community integration and cognitive functioning outcomes compared with standard, less structured multidisciplinary rehabilitation" (p. 36).
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Community Reintegration Following Acquired Brain Injury
McCabe, P., Lippert, C., et al. (2007).
Brain Inj, 21(2), 231-257. |
Description
This is a review of published studies evaluating the effectiveness of any treatment or intervention for individuals with acquired brain injury with outcomes relating to satisfaction and community reintegration. The majority of participants included individuals with traumatic brain injury.
Conclusions
"Limited evidence that more intensive and structured cognitive rehabilitation therapy provided in both groups and individual settings improves participants’ satisfaction with community integration and cognitive functioning outcomes compared with standard, less structured multidisciplinary rehabilitation" (p. 244).
Use the image below to navigate to other sections of the Traumatic Brain Injury (Adults) evidence map.
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TBI-Adults-Service-Delivery-Format
